LAVINNIA BLACKBURN

PRESTONSBURG, KY
NPI1790410587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
LAVINNIA BLACKBURN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
LAVINNIA BLACKBURN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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